Doctor's Narrative Report (EC-4NARR)
Web Submission Process Tutorial
Submitting an EC-4NARR Form For a Patient
Instead of filing the Doctor's Initial Report (C-4) and Doctor's Progress Report (C-4.2) forms, health care providers may file the Doctor's Narrative Report (EC-4NARR) to report both the initial and continued treatment, however, a narrative attachment must be included with the form which provides all the additional information which otherwise would be provided on the other forms.
Please read "Attachment Requirements".
To report permanent impairment, submit form Doctor's Report of MMI/Permanent Impairment (C-4.3).
To request authorization for special services costing over $1000.00, submit form Attending Doctor's Request for Authorization and Carrier's Response (C-4AUTH) .
You may choose to create templates which are .xml data files containing specific information that you may use for subsequent form submissions.
You will need to decide where to save these files. If all EC-4NARR forms for the doctor will be submitted from the same computer, you may choose to save them to the computer's hard drive; however, if the forms will be generated from multiple computers that are on a network, you may want to save them to a shared network drive.
Certain fields on the form are required and they are noted with a red asterisk *. Other fields may be required based on information provided. These fields are noted with a . To determine if these fields are required, either hover your mouse pointer over the or click on the .